| Name | Value |
|---|---|
| NAME | DENTAL REIMB. INS. |
| BILL NAME | DENTAL REIMB. INS. |
| INACTIVE | NO |
| ABBREVIATION | DEN REIM |
| IS THIS A THIRD PARTY BILL? | YES |
| ACCOUNTS RECEIVABLE CATEGORY | EMERGENCY/HUMANITARIAN REIMB. |
| WHO'S RESPONSIBLE | INSURER |
| REIMBURSABLE INSURANCE? | YES |
| NSC STATEMENT ON UB BILLS | YES |
| ELECTRONIC TRANSMIT | ALLOWED |
| BILL RESULTING FROM | HI |